01D0304937 CLIA NUMBER - PROFESSIONAL MEDICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 01D0304937
  • Facility Name: PROFESSIONAL MEDICAL ASSOCIATES PC
  • Facility Address: 101 EAST BRUNSON ST SUITE 200
    ENTERPRISE, AL
    ZIP 36330
  • Facility Phone: 334 393-3686
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. BEVERLY JORDAN
  • NPI Number: 1063476836
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0304937
LAB Type Physician Office
Facility Name PROFESSIONAL MEDICAL ASSOCIATES PC
Street 101 EAST BRUNSON ST SUITE 200
City ENTERPRISE
State AL
ZIP 36330
Phone 334 393-3686
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. BEVERLY JORDAN

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This page was last updated on: 9/29/2025